| NPI | 1831527977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN R ANDERSON Owner/Provider 937-231-5074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0700139) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2023-09-27 |