| NPI | 1851860498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON MEYER CFO 816-629-2763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |