| NPI | 1487915245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE LYNN Owner/Clinician 316-461-1686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3578) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |