| NPI | 1194560110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONIELL ELMORE-MURRAY CEO 937-723-6893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |