| NPI | 1215204037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BAINBRIDGE Owner/Outpatient Therapist 937-836-4788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E-3301) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |