NPI | 1154866606 |
---|---|
Entity Type | Organization |
Authorized Contact | CRYSTAL MARIE RODENBAUGH Owner/Counselor 816-423-2593 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015004221) |
Enumeration Date | 2016-12-19 |
Last Update Date | 2016-12-19 |