| NPI | 1205202710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED ELAINE ARNOLD GRAHAM Provisional Lcsw 937-371-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL psw962) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |