| NPI | 1205295532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE ELIZABETH HUTTON-WIGHTMAN Owner 937-623-9883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OH 4523) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |