| NPI | 1174221915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEVIS ADULARESCENCE Owner 513-913-6148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2024-08-18 |