| NPI | 1013433762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS MARIE MOSBY-PETERSON CEO/Owner 816-665-6124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: MO 2017000664) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2018-01-23 |