| NPI | 1578018909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY ROCHELLE AMES Executive Director 615-451-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |