| NPI | 1730485806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LOUISE JACKSON-ISTAS Clinical Social Worker 785-313-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |