| NPI | 1124303847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CHRISTIAN CEO 270-746-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2012-02-14 |