NPI 1023566999
Up-Ward Aba
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
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.