| NPI | 1053676718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN COLLIER CEO 870-347-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2021-01-14 |