| NPI | 1073497236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE LARRICK Administrator/Assistant Director 937-705-0849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-09-04 |