| NPI | 1124326327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN BURRESS CEO 901-261-2012 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2020-09-15 |