| NPI | 1205873023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE S RUSSELL President 816-228-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |