| NPI | 1629298260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. HENSLEY Director 606-878-7754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-11-16 |