| NPI | 1851341440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN RUSSO Vice President 816-508-4082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-07-02 |