| NPI | 1114325727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA STILES Clinical Social Worker 913-645-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4008) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |