| NPI | 1104128487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY SPRINKLE-JORDAN CEO 859-655-6127 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY 700024) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2020-10-29 |