| NPI | 1851273387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE K DILLMAN Chief Operations Officer 682-597-9698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |