| NPI | 1942527429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY O SEABAUGH Executive Director 816-561-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |