| NPI | 1194688564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA ANN FUNK-JANSEN Licensed Independent Social Worker 660-216-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2025-12-03 |