| NPI | 1770584187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE CASTANEDA CFO 325-947-5623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2024-01-08 |