| NPI | 1710688627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CARRICO Chief Financial Officer 502-896-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |