| NPI | 1851831176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY MCNELLIS Director Human Resources 816-751-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 2017004728) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |