| NPI | 1841876992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXCIUS BRANCH CEO 901-606-7966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-19 |