| NPI | 1295049492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEKSANDR OSIPCHUK Owner 615-444-3836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 45937) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-10-13 |