NPI | 1962585232 |
---|---|
Entity Type | Organization |
Authorized Contact | ELAINE V PTOCEK Executive Clinical Director 785-460-7588 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: KS 022) |
Additional Taxonomies | 101Y00000X Counselor (Licence: KS 263) |
106H00000X Marriage & Family Therapist (Licence: KS 648) | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2020-08-22 |