NPI | 1790811149 |
---|---|
Other Name | FORTWOOD CENTER |
Entity Type | Organization |
Authorized Contact | MELISSA QUEEN-PENNINGTON CFO 423-266-6751 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TN L214-076-1367) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2011-10-15 |