| NPI | 1336279967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI R ESTEP Chief Executive Officer 765-747-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0050X Clinic/Center Family Planning, Non-Surgical |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-01-31 |