| NPI | 1659082774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN STEVENS WRIGHTSON CEO 859-977-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |