| NPI | 1275345514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN RICHARDSON Owner 806-244-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |