| NPI | 1316316268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MONAGHAN Sole Member 937-439-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0007598) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-10-08 |