| NPI | 1346682994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN FIDLER President 816-622-3171 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-10-09 |