MYALA BLACK

DAYTON, OH
NPI1689204026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.172336)
Enumeration Date2020-01-24
Last Update Date2020-01-24
Business Address
MYALA BLACK CDCA
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 937-387-6395
Mailing Address
MYALA BLACK CDCA
3750 NORLEDGE DR
DAYTON, OH 45414-5027
Phone number: 937-798-3878
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