| NPI | 1265901722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE HINECKER Office Manager 316-425-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |