| NPI | 1629814124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB THEIS Chief Executive Officer 816-889-4802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |