Provider First Line Business Practice Location Address:
2670 UNION EXTENDED
Provider Second Line Business Practice Location Address:
SUITE 610 CONCERN EAP
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-458-4000
Provider Business Practice Location Address Fax Number:
901-458-0048
Provider Enumeration Date:
01/12/2007