| NPI | 1467965335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARITY A DETRICK Owner 937-209-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0008990) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |