| NPI | 1699213348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCHMIDT Director 865-983-4582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: TN DA0000008743) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |