| NPI | 1619203874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANE BREMEN President 816-398-7048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 105058) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2011-11-22 |