| NPI | 1346658812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKASHA HAQ CEO 502-797-7861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: KY 33462) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: KY 32576) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |