NPI | 1225407232 |
---|---|
Doing Business As | YOUTHFUL REFLECTIONS |
Entity Type | Organization |
Authorized Contact | MICHAEL ALLEN BOGGESS Owner 615-942-8016 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TN 44489) |
Enumeration Date | 2015-09-20 |
Last Update Date | 2015-11-23 |