| NPI | 1043546807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIAR CHRISTOPHER ALEC STEAVENSON Owner/Director 620-340-0317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: KS A056014) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |