NPI | 1134776685 |
---|---|
Doing Business As | FAIRBORN MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | SHEILA RAE DUNN CEO 937-318-8103 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2019-08-20 |
Last Update Date | 2019-08-20 |