| NPI | 1235320003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIET ALICE SMOCK Corporate Officer/Officer Manager 816-781-6690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO PY00383) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |