| NPI | 1477632578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SCANLAN Owner/Managing Partner 316-640-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: KS 17663) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |