| NPI | 1114209517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL D HAIBACH Director Business Development 937-558-3222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |