| NPI | 1679331086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LIPPENCOTT Owner 937-244-1618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-07-08 |