| NPI | 1861114712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADY CHRISTINE CROCKETT Chief Executive Officer 513-790-4367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2025-09-08 |