| NPI | 1215451158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE GENTILE EDELMANN Partner 513-602-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1100187) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E100187) |
| 101YP2500X Counselor, Professional (Licence: OH C0501191) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |