| NPI | 1700966942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D. STANFORTH Addictions/Mental Health Counselor 513-535-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-01-15 |