| NPI | 1265927503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA JANE PORTER Therapit/Provider 316-617-9831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4792) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |