| NPI | 1952934119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN COLLIER CEO 870-347-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |