| NPI | 1154144335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SUE BAKER Owner/Office Manager 937-270-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2025-01-07 |