| NPI | 1053028548 |
|---|---|
| Other Name | STELLAR STICKS |
| Entity Type | Organization |
| Authorized Contact | RAMONA WILLIS Owner 816-721-1877 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QC1500X Clinic/Center, Community Health | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2024-03-30 |