| NPI | 1346820958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY FALK CEO 913-433-7583 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |