| NPI | 1790177350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DANITA FORD-CRAWFORD Owner 513-200-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL 33371) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |