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