| NPI | 1366998239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL REEH Physician Executive Director 620-266-6312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |