| 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 |