NPI | 1124187554 |
---|---|
Entity Type | Organization |
Authorized Contact | MAHMOOD RAHMAN Owner 937-374-6010 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2006-12-08 |
Last Update Date | 2007-12-11 |