NPI | 1477245538 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN COLLIER CEO 870-347-2534 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-05-25 |
Last Update Date | 2023-05-25 |