| NPI | 1053251397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA GABBERT Operations Director 937-450-5268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2026-03-30 |
| Last Update Date | 2026-03-30 |