| NPI | 1689461634 |
|---|---|
| Doing Business As | DBA WATERSHED INTEGRATED WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TANISHA BROWN JONES CEO 937-367-8640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2026-07-14 |