| NPI | 1124350087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ELIJAH BELL CEO, President 901-516-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TN DPM0000000649) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |