| NPI | 1750555819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARCISO CUESEODIO GABOY Owner 615-316-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 131589MD) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |