| NPI | 1326116476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE HERVERY Chief Executive Officer 901-821-5835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TN L2140866334) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2022-07-21 |