| NPI | 1922138247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE COUNTESS President 615-449-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 41873) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-05-27 |