| NPI | 1346252210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY MANGRICH Group Vice President 913-907-7907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |