| NPI | 1346788296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT SMITH CEO 580-355-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2018-01-26 |