| NPI | 1306848650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER ARBUCKLE CEO 270-338-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY 700060) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2015-04-14 |