| NPI | 1306002563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MOORE Director 859-218-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: KY 28875) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |