| NPI | 1740672880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA MICHELLE THARP Deputy Executive Director 580-319-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2020-05-20 |