NPI | 1811432677 |
---|---|
Entity Type | Organization |
Authorized Contact | ESSENCE MONTGOMERY CFO 816-599-5683 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-01-03 |
Last Update Date | 2024-10-29 |