| NPI | 1508672437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE L LOGAN Contracts And Licensing Specialist 513-440-5791 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |