| NPI | 1528579679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSES GREEN CEO 615-238-4638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |