| NPI | 1598200602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI JONES CRAFT Owner/Director 606-324-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KY 010417 1) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2017-02-23 |