| NPI | 1164977260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY COLE Owner 513-773-4149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1200767-SUPV) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |