| NPI | 1689616062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D. GLOVER Clinical Director 316-264-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 622) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 219) |
| 1041C0700X Social Worker Clinical (Licence: KS 2271) | |
| 1041C0700X Social Worker Clinical (Licence: KS 1957) | |
| 1041C0700X Social Worker Clinical (Licence: KS 2526) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 642) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 643) | |
| 101YP2500X Counselor Professional | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |