| NPI | 1629582903 |
|---|---|
| Doing Business As | MACKS PSYCHOLOGY GROUP |
| Entity Type | Organization |
| Authorized Contact | AMANDA BEEMAN Psychologist 937-602-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: OH 7311) |
| Enumeration Date | 2017-11-25 |
| Last Update Date | 2017-11-25 |