| NPI | 1679934095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ELLIS JENNINGS Owner/CEO 513-240-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0016706) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ICDC 882422-CS) |
| 104100000X Social Worker (Licence: OH S.0016706) | |
| Enumeration Date | 2016-03-12 |
| Last Update Date | 2016-03-12 |