| NPI | 1386837722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE PRESCOTT SMITH President 816-380-3860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 2002019357) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-10-11 |