| NPI | 1598456519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY HORN Comptroller 405-632-6688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-05-19 |