| NPI | 1508505751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE HAWKINS Licensed Professional Counselor 937-416-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2024-07-08 |