| NPI | 1457579179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN L. SCHOWENGERDT Counselor 816-232-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 001021) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |