| NPI | 1760619225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W HOWARD CFO 423-587-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2020-09-30 |