| NPI | 1235546052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE D MOSER Therapist 816-617-6259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2013030909) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2010041726) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |