| NPI | 1396287512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE PIAZZA-WAGGONER Manager 513-919-1371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 6218) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |