| NPI | 1144478116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY K. HYATT Professional Clinical Counselor 937-938-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E0004145) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-30 |