| NPI | 1255877130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LOUISE DAVIS Owner/Provider 316-789-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 744) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |