| NPI | 1275718439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J CARLSON Therapist/Office Manager 513-232-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35053195K) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E 0002275) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-08-27 |