| NPI | 1861034548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MANCINI Owner 937-681-1547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |