Organization
THE HEALING ARTS RESEARCH TRAINING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLTON KEITH HENDERSON L.C.S.W. (EXECUTIVE DIRECTOR)
(901) 493-1103
Entity
Organization
Contact information
Practice address
1384 MADISON AVE, MEMPHIS, TN 38104-2327
(901) 828-1332
(901) 493-1103
Mailing address
1384 MADISON AVE, MEMPHIS, TN 38104-2327
(901) 828-1332
(901) 493-1103
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
I000000002860
TN
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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