| NPI | 1952796633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GRABOUSKI Owner 913-680-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: KS 01-05338) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2016-10-20 |