| NPI | 1841766425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ALVIN SIMONS-BRACKEN Owner/Operator 816-400-3697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2025-09-03 |