| NPI | 1912020876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D. ACKERLEY President 937-640-1432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 2853) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2020-08-22 |