| NPI | 1386660900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMBI MCQUADE-JONES President & CEO 765-742-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-07-21 |