| NPI | 1174925762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT ALAN BERNARD Owner 513-312-1532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E3509) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH E3509) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2023-12-11 |