| NPI | 1033784731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI OTT Owner And CEO 937-405-5672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2022-06-24 |