| NPI | 1942570809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS CAMARENA Senior Therapist 316-734-9568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 1648) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2025-07-30 |