| NPI | 1043011828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEIGH SENGSTOCK Administrator 913-295-9596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-09-18 |