| NPI | 1619308863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA N HUGGINS CEO 918-790-3653 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |