| NPI | 1184423311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HILL Executive Director 937-830-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2026-01-19 |