| NPI | 1437587987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS E CLAUSE President 502-491-8073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: KY 39868) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-11-14 |