| NPI | 1073711859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN B COSTELLO President 816-217-3273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 002099) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2008-05-07 |