| NPI | 1740967785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY STARKEY CEO 580-215-1766 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-07-06 |