| NPI | 1609023191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY GRIFFIN Unit Manager 806-743-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2024-08-29 |