| NPI | 1528343985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELISA BLASDEL Mental Health Therapist 316-393-6921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4076) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |