| NPI | 1235637901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA R BROWN Director Of Revenue Cycle 937-734-6821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |