| NPI | 1053404210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH B WALLING Director 606-723-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-04-16 |