| NPI | 1164776266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL F CLEEK Director 913-588-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS 145854) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |