| NPI | 1164023255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO FLORES CEO 319-768-5858 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2023-01-25 |