| NPI | 1184141202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA B STONE Clinical Social Worker 913-707-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 004988) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-01-10 |