| NPI | 1194272724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARDEH CARLOS HATTAB Psychotherapist 937-771-1037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084631) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-20 |