| NPI | 1760150817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIANN RICHARD Chief Executive Officer 816-807-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2024-05-10 |