| NPI | 1811486004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY GLASSCOCK Billing/Credentialing 316-648-1157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4788) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |