| NPI | 1679672562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA W BUCK President/CEO 423-272-9163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-05-19 |