| NPI | 1083658843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITZI J HESSER Adm 620-723-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: KS 0049) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-03-06 |