| NPI | 1578635124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIS JEAN KOCH Secretary 816-561-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO M0002911) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |