| NPI | 1942337183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER G DITTES Executive Director 615-644-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 261QR0200X Clinic/Center, Radiology | |
| 1223G0001X Dentist, General Practice | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-07-26 |