| NPI | 1619689981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICS ROBINSON Managing Network Facilitator 423-817-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |