| NPI | 1225219272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALPANA VISHNUPAD CEO 937-848-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: OH 35-07-3908-V) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2013-02-27 |