| NPI | 1538366471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STACK Medical Director 901-725-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: TN 5816) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |