| NPI | 1366723090 |
|---|---|
| Doing Business As | KETTERING WEIGHT LOSS |
| Entity Type | Organization |
| Authorized Contact | DANIEL D HAIBACH Director Business Development 937-558-3222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |