| NPI | 1124410089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KRALICH Licensed Professional Clinical Coun 937-776-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH E.1000162) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |