| NPI | 1881875227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN GOLDSTEIN Medical Director 913-451-7546 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 188-0) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2018-11-01 |