| NPI | 1194785337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY R LANE Director 316-685-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 0391) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: KS 0165) |
| 1041C0700X Social Worker, Clinical (Licence: KS 1034) | |
| 1041C0700X Social Worker, Clinical (Licence: KS 0626) | |
| 1041C0700X Social Worker, Clinical (Licence: KS 0683) | |
| 106H00000X Marriage & Family Therapist (Licence: KS 117) | |
| 104100000X Social Worker (Licence: KS 5522) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-08-22 |