| NPI | 1134128820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARINDA KHATRI CEO 423-317-9344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2025-07-09 |