| NPI | 1144116153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CLEVELAND Director/Clinical Psychologist 937-716-7663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-08-15 |