| NPI | 1659588341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXIE V ALEXANDER Sole Proprietor 620-442-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW1012) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-02-21 |