| NPI | 1144708793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA POWELL CEO 513-226-6737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH S.0015032) |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2019-12-31 |