| NPI | 1023630969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA ROADCAP CEO 903-927-3782 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2023-08-28 |