| NPI | 1174385132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SWARTZ Nurse Practitioner 937-790-0247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2025-11-04 |