| NPI | 1265737472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DAWN MILLS Clinical Program Coordinator 816-285-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2002004630) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |