| NPI | 1043358617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN WREN Medical Director And CEO 731-660-4916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TN 39598) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-08-22 |