| NPI | 1003074964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A SMITH Chief Clinical Officer 937-399-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 0006) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |