| NPI | 1467991992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHIA RALLINGS Manager 1901-649-4228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-23 |