| NPI | 1629197025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE S SPARKMAN-BARNES Vice President 913-909-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: KS 1237) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: MO R0501) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |