| NPI | 1194744094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON LACY Outreach Social Worker 937-268-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 284300000X Special Hospital (Licence: MI 6801081048) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |