| NPI | 1144596214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRY SWAYZE Billing Manager 316-944-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 328) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |