| NPI | 1861853525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CORDONNIER Member 937-638-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E. 1200046) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |