NPI | 1790270502 |
---|---|
Doing Business As | LCHC FAMILY CARE CLINIC |
Entity Type | Organization |
Authorized Contact | BRENT SMITH CEO 580-585-5522 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-06-25 |
Last Update Date | 2018-06-25 |