| NPI | 1619241874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE H QUINN Managing Member 913-764-5463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS LCPC 783) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |