| NPI | 1184676157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAINIEH TAYLOR MCGINLEY CEO 731-925-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-01-27 |