| NPI | 1568726214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA ROGOFF Chief Executive Officer 512-478-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2018-11-19 |