| NPI | 1720479819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE DENNIS Clinical Social Worker 913-353-3219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3840) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |