| NPI | 1497721609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA PRESCOTT President And CEO 731-541-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TN 0000000249) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2024-10-14 |