NPI | 1356305999 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA J KURTZ Practice Administrator 816-373-1911 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
Enumeration Date | 2006-04-12 |
Last Update Date | 2025-09-11 |