| NPI | 1831692367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA JEAN MCENTIRE UPHOLD Owner/Therapist 316-305-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 5705) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |