| NPI | 1346874054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH A WOOLUM Project Director 606-663-9011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-08-03 |