NPI Index

CUSTOMIZED MEDICAL NEEDS

Substance Abuse Rehabilitation Facility

Active Organization
NPI: 1124361688

Practice Address

578 HARRELL ST
Memphis, TN 38112

Phone: (901) 907-0640

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X No -
Counselor - Professional 101YP2500X No 305 (TN)
Dietitian, Registered 133V00000X No -
Clinic/Center - Rehabilitation, Substance Use Disorder 261QR0405X No -
Occupational Therapy Assistant 224Z00000X No -
Physical Therapist 225100000X No -
Physical Therapy Assistant 225200000X No -
Registered Nurse 163W00000X No -
Social Worker 104100000X No -
Occupational Therapist 225X00000X No -
Community Based Residential Treatment Facility, Mental Illness 320800000X No -
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X No -
Substance Abuse Rehabilitation Facility 324500000X Yes -

Frequently Asked Questions

NPI 1124361688 is the National Provider Identifier for CUSTOMIZED MEDICAL NEEDS, a Substance Abuse Rehabilitation Facility provider located in Memphis, TN. This NPI was enumerated on April 3, 2013.

Quick Facts

NPI
1124361688
Type
Organization
Enumerated
Apr 3, 2013
Last Updated
Sep 29, 2025

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