| NPI | 1881392058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY HARRISON CEO 812-350-8249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-02-17 |