| NPI | 1871815803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY HIRAM HAGAMAN President Of The Board 816-988-8316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: MO 1483-11552) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |