| NPI | 1427584887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASANDRA A JOHNSON Agency Principal 913-215-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2016027520) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |