| NPI | 1861579930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SHEEHAN Vice President 513-785-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 0481) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 13042) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-02-23 |