| NPI | 1295136349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD NATHANIEL DONLON Chief Executive Officer 901-267-9821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2015-03-23 |