| NPI | 1891186656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DEAN NUTT Director 913-294-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |