| NPI | 1265604763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D. CHARASIKA President/CEO 502-896-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 18988) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: KY 18988) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2013-12-27 |