| NPI | 1679281042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LYNN HOLDERMAN Therapist / Owner 937-694-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |