NPI | 1447728530 |
---|---|
Entity Type | Organization |
Authorized Contact | JERALYN RENEE' THARP Mental Health Therapist 937-248-5978 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2018-11-06 |
Last Update Date | 2018-11-06 |