| NPI | 1609879063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT MORRIS CEO 913-621-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 363LP0200X Nurse Practitioner Pediatrics | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2025-02-20 |