| NPI | 1013129204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSETTE M SCHWARTZ CEO 316-262-3611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-06-10 |