| NPI | 1346080025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE HALLGREN CEO 785-238-4711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |