NPI | 1780697813 |
---|---|
Doing Business As | VARIETY CARE, STRAKA |
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 | 2006-08-13 |
Last Update Date | 2020-02-26 |