| NPI | 1952732778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN WOOTEN Professional Counselor 937-404-1084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH C1300308) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2014-11-13 |