| NPI | 1982726717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EUGENE O'DELL Owner 620-223-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: KS 01-03502) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2015-09-17 |