| NPI | 1235370495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE D PATTISON Director 913-530-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS LPC1970) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW1379) |
| 106H00000X Marriage & Family Therapist (Licence: KS LPC1970) | |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |