| NPI | 1578907879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN BLEVINS Health Services Administrator 913-682-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |