| NPI | 1235285628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA WEISENBURGH Don/Administrator 937-431-9531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OH 0553AS) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-10-30 |