Whalio Doctors

NPI 1023566999

Up-Ward Aba

Organisation Community/Behavioral Health Agency Memphis, TN

Practice location

Address
2068 Evelyn Ave, Memphis, TN 38104-5416
Phone
(901) 308-4762
Fax
(901) 234-0221

Authorised official

Name
Brandee Lynn Masterson
Title
Executive Director
Phone
(731) 234-1873

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 1-14-17291 (CO)

Registry record

NPI
1023566999
Entity type
Organization
NPI issued
20 Sep 2016
Record last updated
14 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.