| NPI | 1851616577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA NICOLE BALLENGER Managing Member 913-244-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2018-04-09 |