| NPI | 1831435619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALIMA FARAH Owner 816-785-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO 2009022406) |
| Enumeration Date | 2012-12-22 |
| Last Update Date | 2012-12-22 |