| NPI | 1124136791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL BETH LEVINE Vice President 937-390-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 4914) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 1437) |
| 1041C0700X Social Worker, Clinical (Licence: OH I0004979) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 5881) | |
| 101YP2500X Counselor, Professional (Licence: OH E0500063) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I0006002) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I0000724) | |
| 101YP2500X Counselor, Professional (Licence: OH E0007828) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I0004398) | |
| 101YP2500X Counselor, Professional (Licence: OH E0002761) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I0700095) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2014-07-24 |