| NPI | 1497520506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA OSIER Senior Manager, Clinical Operations 785-251-3204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |