| Advanced Horizons Llc | |
|
6685 Quince Rd Suite 124 Memphis TN 38119-8038 | |
| (901) 624-3581 | |
| (901) 757-3830 |
| Full Name | Advanced Horizons Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6685 Quince Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Stan Caummisar (CHEIF MANAGER) |
| Authorized Official Contact | 9016243581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Horizons Llc 6685 Quince Rd Suite 124 Memphis TN 38119-8038 Ph: (901) 624-3581 | Advanced Horizons Llc 6685 Quince Rd Suite 124 Memphis TN 38119-8038 Ph: (901) 624-3581 |
| NPI Number | 1417027327 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417027327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | I 215-096-9686 (Tennessee) | Primary |
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