| NPI | 1205066560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET RUTH GOGER Manager 316-689-4276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 1879) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |