| NPI | 1861677627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA SUE BANZHAF Psychotherapist 316-636-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW 3766) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2008-01-16 |