| NPI | 1306253190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER ROGERS WEBB Owner 606-478-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: KY 3008661) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-17 |