| NPI | 1710646393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CRENSHAW Owner 316-519-0673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-04-05 |