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 |