| NPI | 1902404965 |
|---|---|
| Doing Business As | VARIETY CARE PIVOT |
| Entity Type | Organization |
| Authorized Contact | TIM REDDOUT VP & CFO 405-632-6688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |