NPI | 1396201000 |
---|---|
Entity Type | Organization |
Authorized Contact | MARINA MAHONEY VP Of Revenue Cycle Management 913-213-1084 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
Enumeration Date | 2019-02-18 |
Last Update Date | 2025-06-05 |