| NPI | 1861477630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY SARGENT Credentialer 859-626-7700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY 700030) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2018-04-16 |