| NPI | 1427834225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE L SELLS Owner 931-761-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |