| NPI | 1134492853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HANEY Mangaging Partner 937-299-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0602196) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-06-11 |