| NPI | 1548665854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J LEARY Clinician/Owner 913-205-7049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW 1532) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |