| NPI | 1770863557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE LINK-CANNON Director 901-260-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2013-10-17 |