| NPI | 1487025409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN CHADRICK Owner, Marriage & Family Therapist 937-409-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 13541) |
| Additional Taxonomies | 251S00000X (Licence: CO 13541) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |