| NPI | 1962995399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY LEE BAKER President 513-478-4917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TF0200X Psychologist, Forensic | |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |