| NPI | 1801045380 |
|---|---|
| Other Name | MOBILE CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY A STANIFER CEO 865-509-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |