| NPI | 1285002634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT L RICHARDSON Chief Executive Officer 901-360-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2024-03-26 |