| NPI | 1982835765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTA J DAVIS Clinical Service Provider 513-932-4337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH S0800680) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |