| NPI | 1700183530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLEE VIRGINIA ECKERT Executive Director 785-806-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LCP 325) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |