| NPI | 1104209741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WAYNE WILLIAMS Social Worker 785-289-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KS 9683) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |