| NPI | 1013232685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E. DAVIS Owner 937-933-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: OH 12401) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 12401) |
| 302R00000X Health Maintenance Organization (Licence: OH 12401) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |