| NPI | 1295789881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WATERS Admin 816-509-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 000893) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 000099) |
| 1041C0700X Social Worker, Clinical (Licence: MO 002219) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-07-21 |