| NPI | 1366569287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F. GALATE Director 816-305-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: KS 04-30157) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2020-08-22 |