NPI | 1235863879 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY HORN Comptroller 405-632-6688 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-07-11 |
Last Update Date | 2022-07-11 |