| NPI | 1104415264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R HOENDORF CFO 937-226-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 347B00000X Bus |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |