| NPI | 1831569540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SULLIVAN CEO 806-765-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2022-02-07 |