| NPI | 1043932700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA D HARRIS CEO 423-442-7268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |