| NPI | 1548989262 |
|---|---|
| Doing Business As | JCMHC CHRONIC CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LYDIA LONGORIA Qi Representative 913-826-4200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2023-07-18 |