| NPI | 1033510250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK SHAROD POTTER Director Of Business Development 615-995-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: TN L00000001255) |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2014-09-07 |