| NPI | 1679209563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE FERNANDEZ Director 513-409-3635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2024-02-13 |