| Whitehaven Southwest Mental Health Center, Inc. | |
|
1087 Alice Ave Memphis TN 38106-6543 | |
| (901) 259-1920 | |
| Not Available |
| Full Name | Whitehaven Southwest Mental Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1087 Alice Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Richard B Cam Pbell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9012591920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitehaven Southwest Mental Health Center, Inc. 1087 Alice Ave Memphis TN 38106-6543 Ph: (901) 259-1920 | Whitehaven Southwest Mental Health Center, Inc. 1087 Alice Ave Memphis TN 38106-6543 Ph: (901) 259-1920 |
| NPI Number | 1396852125 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 12/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396852125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | L214-076-6288 (Tennessee) | Primary |
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