NPI | 1336730449 |
---|---|
Entity Type | Organization |
Authorized Contact | NAIMISH PATEL COO/CFO 816-599-5552 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-02-01 |
Last Update Date | 2024-04-10 |