| NPI | 1013037159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA PRESCOTT President And CEO 731-541-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TN PSS0000000110) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2025-06-14 |