| NPI | 1265700637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUILL JAMES BRABHAM Public Health Represenative 731-423-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: TN 0157449RE) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |