| NPI | 1619235165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN HERTEL Therapist 785-301-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KS 761) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |