| NPI | 1225406945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN E REYES-VELEZ Owner/Operator 615-822-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TN 00028017) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |