| NPI | 1073065223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY WILLIAMS-PETRY Sole Member 937-543-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0800280-SUPV) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |