| NPI | 1326475229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANAEL M LENZ Sole Proprietor 785-317-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 852) |
| Additional Taxonomies | 251S00000X (Licence: KS 852) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2017-02-17 |