| NPI | 1881943389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DYER CEO 405-452-3151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2019-02-26 |