| NPI | 1962753277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA P RICHARDSON Authorized Offical 615-221-3672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: IL 0003947) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2016-04-25 |