| NPI | 1023232915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD REEDER Supervisor 937-268-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: OH 077622) |
| Additional Taxonomies | 284300000X Special Hospital (Licence: OH 001340) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |