| NPI | 1003295783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW AUGENSTEIN President 270-314-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: KY 200303) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |