| NPI | 1073935599 |
|---|---|
| Doing Business As | VANGUARD CREWCARE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | STUART CLARK Executive VP 615-577-5890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2016-08-22 |