NPI | 1982901724 |
---|---|
Entity Type | Organization |
Authorized Contact | MINDY J NICHOLSON Owner 785-823-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 854) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 403) |
Enumeration Date | 2011-02-14 |
Last Update Date | 2016-07-12 |