| NPI | 1891438313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMI WALLACE-BENNING Owner/Clinical Social Worker 937-203-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-07-15 |