| NPI | 1679034482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC J HOLLIE Owner 513-212-0427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-07-25 |