NPI | 1609961549 |
---|---|
Doing Business As | DODSON AVENUE COMMUNITY HEALTH |
Entity Type | Organization |
Authorized Contact | JAMES L BREXLER President And CEO 423-778-4780 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TN 0000000140) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2008-02-27 |