| NPI | 1952442063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA RIPPEE Owner 901-388-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TN CRT318) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: TN CRT3018) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-24 |