| NPI | 1609261510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL Z MAKRIS CFO 901-260-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |