| NPI | 1992420111 |
|---|---|
| Doing Business As | AMBERWELL LEAVENWORTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFFERY R PERRY CEO 913-367-2131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-19 |