| NPI | 1518292192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R HAMMOND Director Of Business 620-227-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |