| NPI | 1124563796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MCFARLANE-EL CEO 937-734-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 122300000X Dentist | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |