NPI | 1083081848 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESE BRUMFIELD Vice President Provider Operations 615-660-6840 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
Enumeration Date | 2015-08-27 |
Last Update Date | 2015-11-19 |