| NPI | 1407566631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY RADCLIFF CEO 812-723-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |