Organization
CUSTOMIZED MEDICAL NEEDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTI ALEXANDER DAVIDSON (EXECUTIVE DIRECTOR)
(866) 563-7772
Entity
Organization
Contact information
Practice address
8295 TOURNAMENT DR STE 150, MEMPHIS, TN 38125-8900
(866) 563-7772
(901) 255-0758
Mailing address
8295 TOURNAMENT DR STE 150, MEMPHIS, TN 38125-8900
(866) 563-7772
(901) 255-0758
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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