| NPI | 1235225087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AUSTIN CEO 432-570-0238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-06-03 |