| NPI | 1932563749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY JEAN HALL Owner/Provider 937-409-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 100145) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2018-07-19 |