| NPI | 1225782824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLIE LYON ALLEN COO 214-426-3645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |