| NPI | 1528903697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEOPOLDINE BLAISE Owner/Operator 816-616-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2026-04-23 |
| Last Update Date | 2026-04-23 |