| NPI | 1013090489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY REINER Director 316-619-5589 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 422) |
| 101YP1600X Counselor, Pastoral | |
| 106H00000X Marriage & Family Therapist (Licence: KS 048) | |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2024-05-06 |