| NPI | 1205770708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID WILLIAMSON CEO 270-363-8059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-04-15 |