| NPI | 1306872064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LU EGIDY Owner 785-830-8299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: KS 0894) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 6890) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: KS 46111) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: KS 1109) | |
| 1041C0700X Social Worker, Clinical (Licence: KS 1740) | |
| 1041C0700X Social Worker, Clinical (Licence: KS 3569) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: KS 74564) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-11-07 |