| NPI | 1700915782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LOWE Administrative Officer 785-832-4821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-07-22 |