| NPI | 1881913127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI DIANE HENDRICKSON President 785-760-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: KS 000947) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2013-11-01 |