| NPI | 1568740413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LYNN LEE Therapist 316-734-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS 2003 LSCSW) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |