| NPI | 1578287389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA THIGPEN Executive Director 409-983-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |