| NPI | 1164273504 |
|---|---|
| Doing Business As | AMISTAD COMMUNITY HEALTH CENTER- GLORIA HICKS |
| Entity Type | Organization |
| Authorized Contact | CLARA TALIA PETERSON CFO 361-886-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-08-04 |