NPI | 1104104504 |
---|---|
Entity Type | Organization |
Authorized Contact | EARNESTINE LAMONICA WILLIAMS Sole Properitor 316-300-7515 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 3804) |
Enumeration Date | 2011-08-02 |
Last Update Date | 2011-08-02 |