| NPI | 1427509157 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CARRIE ELIZABETH BEAVER Owner/Counselor 513-266-9581  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1000112)  | 
| Enumeration Date | 2016-10-18 | 
| Last Update Date | 2019-04-10 |