| NPI | 1104996768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JOSEPH PALEY President Board Of Managers 937-298-4417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0815AS) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |