Provider First Line Business Practice Location Address:
1500 21ST AVENUE, ROOM 2272
Provider Second Line Business Practice Location Address:
VANDERBILT DEPARTMENT OF PSYCHIATRY OUTPATIENT CLINICS
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37212-6105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-761-3471
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/07/2007