| NPI | 1245806876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L ALE-EBRAHIM Executive Director 316-636-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2024-11-13 |