| NPI | 1801979448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA BOUZAGLOU President 859-263-8083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KY 25984) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-10-15 |