| NPI | 1194183046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY LEWIS HUNTER Therapist 937-270-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH S.0031386) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-02-07 |
| Last Update Date | 2024-05-26 |