| NPI | 1679844757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PEIRSON Owner & Cmo 513-445-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: 35.089777) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: OH 35.089777) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |