| NPI | 1063598670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA I OKOCHA Physician 937-268-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: OH 35-08-0046-0) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |