| NPI | 1326729773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN SHOFNER CEO 606-886-8546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |