| NPI | 1699941195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULOY RAYMER Director 901-516-1476 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1800X Clinic/Center Corporate Health |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-06-05 |