| NPI | 1831139104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A GIBSON Manager/ Therapist 816-455-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 000712) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-09-24 |