| NPI | 1104008747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATINA BEARD Chief Executive Officer 615-340-1265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2022-02-25 |