| NPI | 1407009657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI TAYLOR Support Services Program Manager 423-209-8306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TN RN0000117933) |
| Enumeration Date | 2008-11-01 |
| Last Update Date | 2008-11-01 |