| NPI | 1154747061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIE J MARTIN Therapist 513-242-4235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH l.0003571) |
| Enumeration Date | 2014-03-16 |
| Last Update Date | 2014-03-16 |