| NPI | 1912906850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEE E STRADER-MCMILLEN Executive Director 812-421-7489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2016-08-08 |