NPI | 1992863021 |
---|---|
Entity Type | Organization |
Authorized Contact | JUNE E ABADILLA President 606-693-0199 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-12-04 |
Last Update Date | 2022-09-25 |