| NPI | 1528372588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M ERICKSON Owner 816-524-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2008036829) |
| Additional Taxonomies | 251S00000X (Licence: KS 5733) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |