NPI | 1932348216 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY W HOWARD CFO 423-317-9344 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
103T00000X Psychologist | |
104100000X Social Worker | |
Enumeration Date | 2009-02-11 |
Last Update Date | 2020-09-30 |