| NPI | 1588226328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA MAHONEY VP Of Revenue Cycle Management 913-213-1084 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2025-06-05 |