| NPI | 1700920923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LYNN PEACH Clinical Social Worker 816-836-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 005220) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2015-05-06 |