NPI | 1558029942 |
---|---|
Doing Business As | VIBRANT HEALTH - STE 110 |
Entity Type | Organization |
Authorized Contact | PATRICK SALLEE CEO 913-342-2552 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2021-12-02 |
Last Update Date | 2022-07-21 |