| NPI | 1013016906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AUSTIN CEO 432-570-0238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2021-06-03 |