| NPI | 1841002631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE JONES Director Of Risk & Credentialing 816-889-1928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |