| NPI | 1164652962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES STEETS President/ CEO 731-664-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: TN 806) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |