NPI | 1043741275 |
---|---|
Doing Business As | CROSSROADS FAMILY CARE |
Entity Type | Organization |
Authorized Contact | KENNETH A WHITE CEO 903-822-3076 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2021-10-14 |