| NPI | 1164317269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL KIMBROUGH Clinical Director 937-572-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |