| NPI | 1447407796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ELAINE PARKS Phn2 615-862-7942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: TN RN00000152679) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |