| NPI | 1780088054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTA J DAVIS President 513-310-7293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1101155.SUPV) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |