NPI | 1104296193 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLE ALTENDERFER Business Director 660-530-3086 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2014008259) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2020-09-09 |