| NPI | 1710203187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE HOGAN Co Owner 913-244-8443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2264) |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2010-04-10 |