| NPI | 1578921763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J BRINKLEY CFO 931-540-4212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2024-08-08 |