| NPI | 1245843432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD MINNIX CFO 940-766-6306 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2025-02-26 |