| NPI | 1902242613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA L WILLIAMSON COO/Co Owner/Provider 606-636-4214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 900330) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2019-07-06 |