| NPI | 1407544034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY SOUDER Owner 513-399-7238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |