| NPI | 1285878793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH KLINGENSMITH CEO 913-951-3585 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2020-10-29 |