| NPI | 1609113224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE COWAN Human Resources 615-650-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: TN 0000115065) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |