| NPI | 1326361841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY B DOLEN Owner 513-502-8264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0800367) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |