| NPI | 1528148269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK DANIEL GROSSMAN President Director 816-968-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO PSY00897) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |