| NPI | 1124261771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN OCONNOR Authorized Official / Officer 615-376-7315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NJ 24339) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2024-11-08 |