| NPI | 1225092042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY WIKOFF Executive Director 785-452-6152 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2016-02-04 |