| NPI | 1629190822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT YOUNGER CEO 816-232-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2021-11-10 |