| NPI | 1952649444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM MAIDEN Human Resources And Compliance Mana 816-777-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MO 8) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2022-07-21 |