| NPI | 1891094504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH E OWEN Owner 816-529-3966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2008000489) |
| Additional Taxonomies | 251S00000X (Licence: KS 721) |
| 251S00000X (Licence: CO 1697) | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |