| NPI | 1386937852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M LINE Psychotherapy 620-669-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 1392) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 259) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-08-12 |