| NPI | 1154931574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HAZELWOOD Owner 513-325-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2020-08-01 |