| NPI | 1073499885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRA M ALLEN Clinical And Operations Director 785-650-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |