| NPI | 1225999899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI PETERS Owner 937-545-7946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2025-11-21 |