| NPI | 1811288491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA PAYNE Owner 615-473-5929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NV 574) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |