| NPI | 1447292180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN COTTRELL Business Manager 816-333-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2007-11-09 |