NPI 1124361688
Customized Medical Needs
Practice location
- Address
- 578 Harrell St, Memphis, TN 38112-2932
- Phone
- (901) 907-0640
- Fax
- (901) 255-0758
Authorised official
- Name
- Christi Alexander Davidson
- Title
- Executive Director
- Phone
- (866) 563-7772
Registered specialties (13)
Substance Abuse Rehabilitation Facility
Primary
Professional Counselor
Social Worker
Registered Dietitian
Registered Nurse
Occupational Therapy Assistant
Physical Therapist
Physical Therapy Assistant
Occupational Therapist
Speech-Language Pathologist
Mental Health Clinic/Center (Including Community Mental Health Center)
Substance Use Disorder Rehabilitation Clinic/Center
Mental Illness Community Based Residential Treatment Facility
Registry record
- NPI
- 1124361688
- Entity type
- Organization
- NPI issued
- 3 Apr 2013
- Record last updated
- 29 Sep 2025
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.