| NPI | 1124304274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA N VUNETICH Business Manager 502-897-1794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2012-03-09 |