| NPI | 1831933480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAMSON Administrator/CEO 816-728-9821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-09-03 |