| NPI | 1790280170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVE GUNDERKLINE Owner Therapist 937-206-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149.017384) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |