| NPI | 1245278134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIOLA OLUSOLA DIPEOLU Clinical Director 316-201-1273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS 1061) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |