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 |