| NPI | 1467396887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY ELAINE OWENS Nurse 463-246-3899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2026-04-16 |
| Last Update Date | 2026-04-25 |