| NPI | 1184036782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA HACKETT Owner 513-403-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I7205) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 923349) |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2014-05-30 |