| NPI | 1578808655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE JO GOTTMAN Public Health Nurse 865-215-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: TN LPN0000038059) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |