| NPI | 1245907492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY S SMOTHERMON Owner 316-648-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-05-19 |