| NPI | 1689830119 |
|---|---|
| Other Name | COLA'S PLACE NORTH |
| Entity Type | Organization |
| Authorized Contact | AMATHA MONICA ELLIOTT-GRAY Owner/Administrator 816-920-6084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |