NPI | 1598054033 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA SUE OTIS Owner 816-228-4373 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2011003304) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2011-08-19 |