| NPI | 1134937402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAN AHMED CEO 937-631-1689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |