| NPI | 1104827534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY WHITE President 615-866-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2015-03-30 |