| NPI | 1164301156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKIA WOODS Executive Director 937-351-4793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-02 |