| NPI | 1700332517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MICHAEL PEER CEO 918-257-8029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-12-21 |