| NPI | 1619711264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINNEA LOWE Owner 513-643-9126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-07-12 |