| NPI | 1891423984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLI HENOCH Chief Executive Officer 620-278-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |