| NPI | 1205572203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC C FLAX CEO 785-621-4990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2023-02-24 |