| NPI | 1548415102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY NYCOLE COLLINS RN 931-528-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: TN 155993) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |