| NPI | 1053554378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LALOR Director 615-925-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2020-05-28 |