Whalio Doctors

NPI 1649310301

Impact Centers, INC

Organisation Voluntary or Charitable Agency Columbia, TN

Practice location

Address
1209 Tradewinds Dr, Columbia, TN 38401-4607
Phone
(931) 381-2114

Authorised official

Name
Cindy Graves
Title
Executive Director
Phone
(931) 381-2114

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence L3(20)4M4-036-3271 (TN)

Registry record

NPI
1649310301
Entity type
Organization
NPI issued
8 Feb 2007
Record last updated
3 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.