| NPI | 1194107813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L HILL Executive Director 937-380-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 011304) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2018-03-26 |