| NPI | 1174934749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE BAILEY COO 865-934-3734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2024-04-03 |