| NPI | 1871594333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C LOVETT Executive Director 423-286-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-10-25 |