NPI | 1356305999 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA J KURTZ Practice Administrator 816-373-1911 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
103TC0700X Psychologist, Clinical | |
Enumeration Date | 2006-04-12 |
Last Update Date | 2020-08-22 |