| NPI | 1942038427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MBULA MUTUNGA CEO 913-660-5365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |