NPI | 1932108974 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS JONES Chief Executive Officer 573-313-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2020-10-21 |