| NPI | 1285800714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HENSLEY Director 606-878-7754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local (Licence: KY 261QP0905X) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |