| NPI | 1457589319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE MARTIN Secretary 913-663-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: KS 04-20217) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |