| NPI | 1659644607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A KANIUGA Clinical Director 937-426-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2020-12-09 |