| NPI | 1487498515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DAVID NATHAN ADAMS Owner 937-672-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |