| NPI | 1124208533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVER L PATTON President 316-636-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY202376) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2009-02-11 |