| NPI | 1225348626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL REID President 937-226-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 34002459R) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-11-15 |