NPI | 1164096301 |
---|---|
Doing Business As | VIBRANT HEALTH - OAK GROVE ELEMENTARY SCHOOL |
Entity Type | Organization |
Authorized Contact | PATRICK SALLEE CEO 913-320-2607 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-05-13 |
Last Update Date | 2021-05-13 |