| NPI | 1295217347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN LEA PREBYS Owner/Licensed Counselor 937-717-8643 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |