| NPI | 1255889309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWNYELL NIKKO CULPEPPER Clinical Therapist 937-993-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I.200311) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.200311) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-10-28 |