| NPI | 1255772679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE WAGNER Dr/President 816-523-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MO 2004008729) |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2014-10-21 |