| NPI | 1629651674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE REESE-TURNER Director Of Billing And Patient Ser 913-730-3674 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |