| NPI | 1154184588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY HRABIK Head Of Clinical Operations 913-669-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |