| NPI | 1750808663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAPRICE-ANN LAMBERT Owner 937-266-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2019-02-13 |