| NPI | 1740179894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN F COLLIER CEO 870-347-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-08-22 |