| NPI | 1811746761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENAYET U CHOWDHURY CEO 859-825-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2025-05-28 |