| NPI | 1902432073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLING SUMANTI President 513-368-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2025-10-30 |