| NPI | 1215428016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN CRANE-JACKSON Compliance Director 937-250-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2022-07-15 |