| NPI | 1730712274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNETTE VAN CAMP Mental Health Therapist 816-673-0915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2021-09-08 |