| NPI | 1659730133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FLAUM HALL Partner 937-545-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E7537) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E2080) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |