| NPI | 1598225021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA MAHONEY VP, Revenue Cycle Management 913-213-1084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-06-05 |