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 |