| NPI | 1144280132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN ADCOCK CEO 417-255-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-03-16 |