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 |