| NPI | 1063047538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRAD M GOODE Executive Director 937-540-5716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |