NPI | 1205093390 |
---|---|
Doing Business As | SPRINGBORO MEDICAL WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | DESIDERIO NMI PINA Medical Director 937-619-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
1041C0700X Social Worker, Clinical | |
207P00000X Emergency Medicine | |
2084N0400X Psychiatry & Neurology, Neurology | |
208D00000X General Practice | |
Enumeration Date | 2008-05-18 |
Last Update Date | 2008-05-18 |