| NPI | 1245643204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH MASSLER FIGUEROA Fnp 731-234-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TN APN0000018674) |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2014-06-07 |