| NPI | 1184838682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WHITLOW TALLEY Special Education Supervisor 731-925-3943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |