| NPI | 1316470354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYANTHA RANAWEERA President/Owner 785-410-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |