NPI | 1609572882 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANTELLE LEATHERWOOD CEO 901-842-3160 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-01-31 |
Last Update Date | 2023-01-31 |