NPI | 1417547530 |
---|---|
Doing Business As | VIBRANT HEALTH - CORDELL D. MEEKS, JR. CLINIC |
Entity Type | Organization |
Authorized Contact | PATRICK SALLEE CEO 913-342-2552 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-01-22 |
Last Update Date | 2021-01-22 |