| NPI | 1659478923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN M OLSON Medicaid Billing Technician 316-973-4710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-07-11 |