| NPI | 1467894741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER GULIANO Owner 513-889-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH E0500402) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2019-04-22 |