| NPI | 1003630658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WAYNE EMERICK Psychologist 937-271-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |