| NPI | 1265709026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS V MATTHEWS Managing Member 785-273-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 0665) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |