| NPI | 1609030311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HARVEY CEO 913-722-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 4020303) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2023-02-03 |