NPI | 1114462272 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA TAYLOR KAAI Clinic Program Director 270-686-6040 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-12-28 |
Last Update Date | 2024-10-15 |