| NPI | 1225415029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KIMPAN Owner/ Counselor 937-672-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 131072) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |