| NPI | 1316586571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MORENO President 606-524-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2020-01-23 |