| NPI | 1710215363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA L THORNBERRY Administrative Assistant 606-474-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |