| NPI | 1740512490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL C MILLER President 615-425-4903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR0400X Clinic/Center Rehabilitation | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2011-10-04 |