| NPI | 1477835601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W HOWARD CFO 423-587-7337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2020-09-30 |