| NPI | 1275838351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BROOKS-HART Owner 913-620-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 1719) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 1719) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |