| NPI | 1356982516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELVON STALEY Counseling Director/Owner 316-734-6237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |