| 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 |