| NPI | 1275358590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BARTON CEO 423-613-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-26 |