| NPI | 1558865782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INSOON G. HOAGLAND Administrator 913-683-5028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 908) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-08-14 |