| NPI | 1316372600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DENTON-EDWARDS Sole Proprietor 785-477-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4108) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 90) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |