NPI | 1336483262 |
---|---|
Entity Type | Organization |
Authorized Contact | RALPH THOMAS REACH President 423-631-0432 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: TN 41263) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |