| NPI | 1457865305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BURCZYK Chief Financial Officer 913-342-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-12-14 |