| NPI | 1720459282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL WILSON Health Services Administrator 606-598-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |