NPI | 1407109481 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY FALK CEO 913-648-2266 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-10-16 |
Last Update Date | 2021-03-23 |