| NPI | 1942696760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES DELOIS FYALL Owner 513-969-6954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C0004736) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C0004736) |
| 101YM0800X Counselor, Mental Health (Licence: OH C0004736) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |