| NPI | 1093561623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT DUNLAP President And Chief Executive Offic 331-022-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-10-31 |