| NPI | 1932292547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L JOHNSON Practice Administrator 316-686-7884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: KS 0421258) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist, Clinical (Licence: KS 1068) | |
| 1041C0700X Social Worker, Clinical (Licence: KS 0858) | |
| 1041C0700X Social Worker, Clinical (Licence: KS 1161) | |
| 106H00000X Marriage & Family Therapist (Licence: KS 112) | |
| 106H00000X Marriage & Family Therapist (Licence: KS 242) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 0421258) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 74633) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-05-16 |