| NPI | 1740783620 |
|---|---|
| Doing Business As | INTEGRATED CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM DALE NESVIG CEO 903-234-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |