NPI | 1447421003 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY VANCE Billing Specialist 937-592-9545 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
Enumeration Date | 2008-03-21 |
Last Update Date | 2008-03-21 |