| NPI | 1508139866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE BOCKELMAN Clinical Social Worker 913-634-4196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW 863) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |