| NPI | 1396015095 |
|---|---|
| Doing Business As | LIBERTY HOLISTIC MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES W WILLOUGHBY Owner 816-781-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: MO 37014) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |