| NPI | 1962565408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SHACKSON President 513-721-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: OH 35062208) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-06-10 |