| NPI | 1427112259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER ALAY Office Manager 423-648-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TN 31560) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-10-12 |