| NPI | 1073828315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI B DONNELLY Owner/President CEO 937-293-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 1936460) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |