| NPI | 1851839096 |
|---|---|
| Doing Business As | LCHC EASTSIDE |
| Entity Type | Organization |
| Authorized Contact | BRENT SMITH Chief Exective Officer 580-355-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-03-14 |