| NPI | 1366484669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE DOROTHY RODGERS Owner 785-840-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 2319) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2025-06-09 |