| NPI | 1497183883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA SABELLA CEO 979-383-2348 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2024-09-11 |