| NPI | 1841530698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBBIE BRANDON President 937-640-1679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2015-11-10 |