| NPI | 1972928935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANIZA EHTESHAM Certifying Officer 913-485-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KS 436887) |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |