| NPI | 1982213633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE GREENWAY Medication Clinic Coordinator 580-799-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |