| NPI | 1477713832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MANDLE OZBUN Director/Member 785-207-0944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 1075) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |