NPI | 1043457179 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY W HOWARD CFO 423-587-7337 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 103T00000X Psychologist |
104100000X Social Worker | |
Enumeration Date | 2009-01-12 |
Last Update Date | 2010-11-10 |