| NPI | 1689855819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SULLIVAN Chief Executive Officer 806-765-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2022-02-14 |