| NPI | 1174376578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA PURDY Owner 931-674-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |