| NPI | 1811382914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA FORAKER Therapist 816-682-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2008030793) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |