| NPI | 1215567474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENAYET U CHOWDHURY Chief Executive Officer 859-825-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2025-05-28 |