| NPI | 1972024685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTYN S WHITTINGHAM Owner 513-827-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 64886) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-07-21 |