| NPI | 1427574862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART IRWIN CEO (Interim) 502-774-8557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: KY 700013) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2021-07-16 |