Organization
EMPOWERMENT TO SAVE OUR CHILDREN FROM ADDICTION PROVERTY AND THEIR ENV
Active
Other names
ESCAPE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER M HENDERSON BACHELOR OF ARTS (CHEIF EXECUTIVE OFFICER)
(901) 736-8165
Entity
Organization
Contact information
Practice address
3476 SUMMER AVE, MEMPHIS, TN 38122-3610
(901) 736-8165
Mailing address
6878 MIKAYLA LN, CORDOVA, TN 38018-7921
(901) 736-8165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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