NPI | 1174054845 |
---|---|
Doing Business As | LINCOLN COUNTY HIGH HEALTHY KIDS CLINIC |
Entity Type | Organization |
Authorized Contact | ERIC E LOY CEO 240-864-1472 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY 700172) |
Enumeration Date | 2017-03-24 |
Last Update Date | 2017-03-24 |