| NPI | 1134939408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY NIEMAN Director Of Payer Credentialling 513-544-1003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-11-18 |