| NPI | 1295092419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA M LALOR Director/Delegated Official 615-925-4565 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2017-08-24 |