| NPI | 1225377153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN J. VOS Owner 615-301-1839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN 2041) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |