| NPI | 1831118306 |
|---|---|
| Doing Business As | CHCL COMMUNITY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL P. SULLIVAN Chief Executive Officer 806-765-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-02-07 |