| NPI | 1245805712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE N MOORE-RHODES Co Owner 731-837-5028 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2022-03-24 |