| NPI | 1437418019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD W LEISY President 316-681-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 14574) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-09-19 |