| NPI | 1164238598 |
|---|---|
| Former Legal Business Name | ALIVE FAMILY PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | JULIA W FIELDS Owner 816-845-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |