| NPI | 1922842863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY RENAE BANISTER Sole Proprieter 316-285-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-10-07 |