| NPI | 1831452176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL D. HEIMAN Owner 785-218-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4068) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 192) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |