| NPI | 1760050595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI DENIESE MASON Pmhnp Bc 513-507-7125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |