| NPI | 1023558889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STERLING E TITUS Case Manager 937-287-7368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH CDCA.162643) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |