| NPI | 1295936151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA NICHOLE HOLOUBEK Owner 316-804-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2485) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2014-11-20 |