| NPI | 1144737495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSAM FATAHALLA Licensed Professional Counselor 513-549-5341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH C.1400210) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1400210) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |