| NPI | 1699564476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY STARKEY CEO 580-215-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |