| NPI | 1194810234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON A YOUNG Secretary 513-721-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34138) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 034138) |
| 174400000X Specialist (Licence: OH 034138) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH NS-03684) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E0000762) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-04-06 |