| NPI | 1588851661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN A GLYNN Medical Director/Owner 615-217-7236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2011-11-28 |