Organization
INTEGRATIVE NEUROLIFE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG KFOURY (VP OF ADMISSIONS)
(615) 891-2226
Entity
Organization
Contact information
Practice address
1104 16TH AVE S STE C, NASHVILLE, TN 37212-2305
(615) 891-2223
Mailing address
1104 16TH AVE S, NASHVILLE, TN 37212-2305
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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