| NPI | 1578570982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT THEIS Acting Chief Executive Officer 816-474-4920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MO H80CS00784) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-06-11 |