| NPI | 1225689185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL IZEKOR Director 816-729-3198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2022-09-14 |