NPI | 1801524095 |
---|---|
Entity Type | Organization |
Authorized Contact | DASHARDRA WOODARD CEO 901-310-4916 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2022-08-15 |
Last Update Date | 2025-04-23 |