NPI | 1609145655 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSALIE POMPUSHKO President 816-333-9965 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO R5E98) |
Enumeration Date | 2011-12-20 |
Last Update Date | 2011-12-20 |