NPI | 1215108873 |
---|---|
Entity Type | Organization |
Authorized Contact | DEE ANN CRAMER Director 316-773-9525 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KS 1304) |
Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: KS 1304) |
Enumeration Date | 2008-03-21 |
Last Update Date | 2024-07-03 |