| NPI | 1376046003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFEMWONKIEKIE WILLIAM IYAMU President/CEO 913-302-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-01529) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QM1000X Clinic/Center, Migrant Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2019-02-06 |