| NPI | 1407043979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN VANCE Executive Director 606-487-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2024-08-20 |