| NPI | 1558642793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F. RIORDAN Provider/ Owner 816-271-8127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 2008011487) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |