| NPI | 1477885465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI R ESTEP Chief Executive Officer 765-747-2971 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2015-12-28 |