NPI | 1467483255 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDEE STRADER-MCMILLEN CEO 812-421-7489 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2015-07-15 |