| NPI | 1831034982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OUSMAN JATTA Managing Member 937-658-8754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2026-04-23 |
| Last Update Date | 2026-04-23 |