| NPI | 1518265917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGHTON JONES Owner 816-872-9437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MO 2011000640) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-15 |