Provider First Line Business Practice Location Address:
3960 KNIGHT ARNOLD RD. SUITE 300
Provider Second Line Business Practice Location Address:
DELTA MEDICAL CENTER - OUTPATIENT PSYCHIATRIC SERVICES
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-369-6980
Provider Business Practice Location Address Fax Number:
901-369-8654
Provider Enumeration Date:
10/01/2008