NPI | 1659410256 |
---|---|
Former Legal Business Name | MODEL CITIES HEALTH CORPORATION OF KANSAS CITY |
Entity Type | Organization |
Authorized Contact | ESSENCE MONTGOMERY CFO 816-599-5683 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2007-02-06 |
Last Update Date | 2024-10-29 |