NPI | 1972368355 |
---|---|
Doing Business As | A CENTERED PRACTICE |
Entity Type | Organization |
Authorized Contact | REBECCA W CLARKE Clinical Psychologist 937-952-5009 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-02-15 |
Last Update Date | 2024-03-11 |