| NPI | 1114857455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JEAN COOKE Owner 513-620-5924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2026-05-20 |
| Last Update Date | 2026-05-20 |