| NPI | 1194043935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JERALD CROWDER Member Manager 785-207-6062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2141) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |