| NPI | 1598925547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT KANIUGA Clinical Counselor 937-426-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E08331) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |