| NPI | 1205875283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALENE STEWART VP 615-656-0918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 22700) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2025-08-20 |