| NPI | 1093812190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENSEL OWEN WARD Owner/President 937-390-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 4444) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-02-22 |