| NPI | 1306250782 |
|---|---|
| Doing Business As | FOOTHILLS- COMMUNITY BASED INTERVENTIONS |
| Doing Business As | COMMUNITY BASED INTERVENTIONS |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA SIMMONS Director 606-343-0216 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2019-10-22 |