| NPI | 1720143779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE DILLON Assistant Secretary 502-596-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: KY 300141) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-04-25 |