| NPI | 1013070671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT PAVLIK President 937-776-7290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E6835) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E6835) |
| 101YM0800X Counselor, Mental Health (Licence: OH E6835) | |
| 101YP1600X Counselor, Pastoral (Licence: OH E6835) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-04-30 |