| NPI | 1598272239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA C LANGE Therapist 513-904-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1451140.SUPV) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-04 |