| NPI | 1497171763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE D MOSER Clinical Director 816-364-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MO 2013030909) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MO 2013030909) |
| 101YP2500X Counselor Professional (Licence: MO 2013030909) | |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |