| NPI | 1184805608 |
|---|---|
| Other Name | BRACKEN CO HIGH SCHOOL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TONY ANDERSON COX Adminisrtator 606-735-2157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |