| NPI | 1083852362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLA J KILLE Director 620-921-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3862) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2015-02-12 |