| NPI | 1356575708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE MARIE ADAMS Member 931-648-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: TN 704) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |