| NPI | 1578268033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DICK Health Administrator 325-646-0554 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-06 |