| NPI | 1356067656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WADE WALTMAN Owner 785-224-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |