| NPI | 1124881214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY JOHNSON Member 785-838-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |