| NPI | 1013526847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHIYA ALEW Director 816-824-7219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-11-27 |