| NPI | 1184893604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REBOK VP 615-372-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2023-01-02 |