| NPI | 1730211228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE E. KLINE President 937-294-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2014-02-12 |