| NPI | 1619331519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN PATRICK PADGETT Licensed Clinical Psychotherapist 316-691-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: KS LCP-927) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2020-06-09 |