| NPI | 1639636657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DYER CEO 405-452-3151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2023-09-14 |