| NPI | 1881288538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYN LEE Owner 513-438-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2024-08-29 |