| NPI | 1194116285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRANCH Managing Officer 931-259-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |