NPI | 1861790131 |
---|---|
Other Name | FORTWOOD CENTER |
Entity Type | Organization |
Authorized Contact | H. EARL MEDLEY President/CEO 423-266-6751 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2011-03-10 |
Last Update Date | 2011-03-10 |