| NPI | 1508889742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY SPRINKLE-JORDAN CEO 859-655-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-08-11 |