| NPI | 1215231519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA N JONES Director Of Nursing 937-642-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |