| NPI | 1952128431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY STARKEY CEO 580-215-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |