| NPI | 1790426476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA GENETIN Therapist 937-631-8104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |