| NPI | 1467819110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR BENNETT CEO 913-653-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 152W00000X Optometrist |
| 183500000X Pharmacist | |
| 207Q00000X Family Medicine | |
| 1223D0001X Dentist, Dental Public Health | |
| 363L00000X Nurse Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |