| NPI | 1437327426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN MCBRIDE Owner 816-985-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |