| NPI | 1720592330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEBEKA SHIN Owner 816-607-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2016032363) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 9707) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2018-08-21 |