| NPI | 1891759569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA EDWARDS Administrator 816-364-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 1332) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2025-04-29 |