| NPI | 1770826661 |
|---|---|
| Doing Business As | VARIETY CARE AT PETE WHITE HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | TIM REDDOUT CFO 405-632-6688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2020-02-26 |