| NPI | 1629964598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JEAN COOKE Director. Owner 513-620-5924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |