| NPI | 1558707737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN UKPABI Administrator 816-214-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 1111) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |