| NPI | 1831510049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA N HUGGINS CEO 918-967-3368 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |