| NPI | 1205146297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG D MONTGOMERY Member 785-272-5134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-25 |