| NPI | 1801929617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WAYNE HENDERSON Medical Director 615-341-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: TN 4202) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |