| NPI | 1770705873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT W LONG Phyisican 606-723-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 31482) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-09-16 |