| NPI | 1306357645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL L. CHRISTENSEN Business Manager 913-220-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2018-01-18 |