| NPI | 1366883001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA D HEYEN Clinical Therapist 316-253-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 184) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |