| NPI | 1538445549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SELOVER Supervising Clinical Counselor 937-426-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2017-01-23 |