| NPI | 1437286770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAGY CFO 606-218-3500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY 700101) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-01-22 |