| NPI | 1972981942 |
|---|---|
| Doing Business As | KATY TRAIL COMMUNITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WALLER CEO 660-826-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2024-02-21 |