| NPI | 1659567337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA ROADCAP CEO 903-927-3782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2023-08-28 |