| NPI | 1578756839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI CLINTON DICHISER Owner 913-239-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS LCPC 239) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |