NPI | 1255686168 |
---|---|
Entity Type | Organization |
Authorized Contact | LONNIE JOE HOLT President 816-581-3730 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2010004312) |
Enumeration Date | 2012-07-17 |
Last Update Date | 2013-05-15 |