| NPI | 1811437726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN S HARRIS President 270-283-4638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: KY 03286) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |