| NPI | 1831569128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY D BURROWS Quality Improvement Manager 620-275-0644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: KS 001-09302015) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |