| NPI | 1215659156 |
|---|---|
| Doing Business As | HOLY FAMILY FAIRMOUNT |
| Entity Type | Organization |
| Authorized Contact | BRENDA THANEL CEO 316-682-9900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |