| NPI | 1023232949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE FANEUIL SHARP Regional Accountant 865-549-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-08-23 |