| NPI | 1427713577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DESCOTEAUX Pc Owner 615-838-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2022-07-12 |