| NPI | 1487986667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE D BURKETT Therapist 816-260-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 1791) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2013-10-15 |