| NPI | 1003262684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE M FERANDEZ Owner 513-409-3635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH 3888421) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2022-07-20 |