| NPI | 1366727646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE KILLIAN Owner/Provider 937-361-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 0007910) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 933459) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |