| NPI | 1063433704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS ELIZABETH YOUNG Office Manager 423-452-9984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: TN 44-3943) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-02-09 |