| NPI | 1922515899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL A. REESE Therapist 785-393-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X (Licence: KS 3831) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2020-07-29 |