NPI | 1801252432 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER L JACKSON Senior Director 615-465-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX AP129869) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2021-07-28 |