| NPI | 1891344503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEREESE Y HAMEED-MUHAMMAD Owner 816-914-7218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2024-07-18 |