| NPI | 1023755063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE JANE STEPHENS Operations Director 816-769-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |