NPI | 1053678904 |
---|---|
Entity Type | Organization |
Authorized Contact | DERRICK PRICHARD Excutive Director 316-869-2888 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2001) |
Enumeration Date | 2012-04-17 |
Last Update Date | 2012-04-17 |