| NPI | 1548372865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASIAH S ROTHCHILD Finance Administrator 785-460-4596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-07-21 |