NPI | 1831561554 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYCE T. GRAY President 816-813-6934 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2013040380) |
Enumeration Date | 2015-10-21 |
Last Update Date | 2016-02-26 |