NPI | 1588852917 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWNA RENEE CLOCK Therapist/Office Manager 913-722-2505 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-10-10 |
Last Update Date | 2007-10-10 |