| NPI | 1689288938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLIE TURK Owner 913-908-9169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2023-10-18 |