| NPI | 1285010413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MYERS CEO 580-223-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2022-02-22 |