| NPI | 1013569961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ZAHNER Hr Manager 918-622-0641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |