| NPI | 1366553794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J CHAISSON Owner 901-679-9458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-09-27 |