| NPI | 1881122729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL THOMAS ROBERTSON Physician 513-519-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35047921) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2022-07-21 |