| NPI | 1023274172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GOOLSBY Human Resources Director 806-765-2605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2010-07-25 |