| NPI | 1639020837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA FAIRBANKS Clinical Social Worker/Therapist 816-699-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-02-04 |
| Last Update Date | 2026-06-22 |