| NPI | 1447710314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ROSE MCKENNA CEO 270-789-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-05-14 |