| NPI | 1720841042 |
|---|---|
| Doing Business As | BROKEN ARROW LLC |
| Entity Type | Organization |
| Authorized Contact | CRISSY SHANK Manager 931-761-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |