| NPI | 1710725288 |
|---|---|
| Doing Business As | ACHC-LEAVENWORTH |
| Entity Type | Organization |
| Authorized Contact | BRANDI OOM CEO 913-367-4879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-11-12 |