| NPI | 1164954947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA BRANT Co Owner 937-781-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |