| NPI | 1942655337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D YATES CEO 785-302-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2318) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 572) |
| 103T00000X Psychologist (Licence: KS 2318) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2022-10-26 |