| NPI | 1699270553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE CLARKE Lcsw 816-258-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57516) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2010039507) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |