| NPI | 1942438361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SUE WAUGAMAN Health Services Administrator 606-929-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |