| NPI | 1205816089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI ANNE REMBOLT Owner 660-885-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2004004592) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-08-22 |