| 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 |